Provider Demographics
NPI:1891549762
Name:ADEYEMI, OLAOLUWA MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:OLAOLUWA
Middle Name:MICHAEL
Last Name:ADEYEMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ADULT MEDICINE CENTER, 4220 W. 95TH STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453
Mailing Address - Country:US
Mailing Address - Phone:708-398-0287
Mailing Address - Fax:
Practice Address - Street 1:ADULT MEDICINE CENTER, 4220 W. 95TH STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453
Practice Address - Country:US
Practice Address - Phone:708-398-0287
Practice Address - Fax:708-684-0281
Is Sole Proprietor?:No
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program